<unavail> in Saint Paul, MN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Saint Paul, Minnesota. The current practice location for is 45 10th St W, Saint Paul, Minnesota. For appointments, you can reach them via phone at (651) 602-7500. The mailing address for is 153 Cesar Chavez St, Saint Paul, Minnesota and phone number is (651) 602-7500.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1982346409. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (651) 602-7500.

Contact Information


	45 10th St W Saint Paul MN 55102-1062
	(651) 602-7500
	(651) 222-1305

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	45 10th St W, Saint Paul, Minnesota
Authorized Official Name and Position	Reuben Moore (CEO)
Authorized Official Contact	6516027500
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
153 Cesar Chavez St Saint Paul MN 55107-2226 Ph: (651) 602-7500	45 10th St W Saint Paul MN 55102-1062 Ph: (651) 602-7500

NPI Details:

NPI Number	1982346409
Provider Enumeration Date	04/13/2022
Last Update Date	05/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2062306434
Medicare Enrollment ID	O20241108000396

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982346409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Saint Paul, MN

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- Medicare Primary Care in Saint Paul, MN